Table 1.
Breast cancer risk factors included in the 14 models
Name of model | Gail [37] | Rosner [42] | Rosner [25] | Colditz [50] | Ueda [38] | Boyle [39] | Lee [36] | Novotny [24] | Gail [32] | Matsuno [51] | Banegas [40] | Pffeifer [31] | Park [23] | Lee [33] | Effect | Level of evidence | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Basic characteristics | |||||||||||||||||
Age | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Increased risk | Definite | |||||
Ethnicity | Yes | Jewish increased risk | Definite | ||||||||||||||
Height | Yes | Increased risk | Definite | ||||||||||||||
Weight | Yes | Increased risk in post-menopausal | Probable | ||||||||||||||
BMI | Yes | Yes | Yes | Yes | Yes | Yes | Probable | ||||||||||
Alcohol intake | Yes | Yes | Yes | Yes | Yes | Increased risk | Probable | ||||||||||
Smoking | Yes | Yes | Increased risk | Possible | |||||||||||||
Physical activity | Yes | Yes | Yes | Decreased risk | Possible | ||||||||||||
Diet | Yes | Decreased risk | Probable | ||||||||||||||
Hormonal and reproductive factors | |||||||||||||||||
Age at menarche | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Increased risk | Definite | |||
Age at first live birth | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Increases risk | Definite | |
Age at subsequent birth | Yes | Yes | Increases risk | Definite | |||||||||||||
Age at menopause | Yes | Yes | Yes | Yes | Yes | Yes | Increased risk | Definite | |||||||||
Hormone replacement therapy use | Yes | Yes | Yes | Yes | Increases risk | Definite | |||||||||||
Oral contraceptive use | Yes | Yes | Yes | Increases risk | Definite | ||||||||||||
Breast feeding | Yes | Yes | Decreases risk | Probable | |||||||||||||
Pregnancy | Yes | Decreases risk | Possible | ||||||||||||||
Parity | Yes | Yes | Decreases risk | Definite | |||||||||||||
Children number | Yes | Yes | Decreases risk | Possible | |||||||||||||
Menopause type | Yes | Surgical menopause reduces risk | Possible | ||||||||||||||
Menstrual regularity | Yes | Menstrual regularity and duration—inconsistent results | Possible | ||||||||||||||
Menstrual duration | Yes | Yes | Possible | ||||||||||||||
Menopausal status | Yes | Yes | Post-menopause increases risk | Possible | |||||||||||||
Gestation period | Yes | Increases risk | Possible | ||||||||||||||
Family history of breast and/or ovarian cancer or diseases | |||||||||||||||||
Family history of breast cancer | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Increases risk | Definite | |||||
First-degree relatives with breast cancer | Yes | Yes | Yes | Yes | Increases risk | Definite | |||||||||||
Age of onset of breast cancer in a relative | Yes | Increases risk | Probable | ||||||||||||||
Benign breast disease | Yes | Yes | Yes | Increases risk | Probable | ||||||||||||
History of breast biopsies | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Increases risk | Definite | ||||||||
Mammogram | Yes | Increases risk | Probable | ||||||||||||||
Summary of risk factors included in each model | |||||||||||||||||
Definite factors | 5 | 5 | 6 | 10 | 3 | 5 | 3 | 6 | 3 | 5 | 5 | 5 | 7 | 5 | Max of 10 and min of 3 factors | ||
Probable factors | 0 | 0 | 0 | 4 | 1 | 3 | 2 | 1 | 0 | 1 | 0 | 3 | 3 | 2 | Max of 4 and min of 0 factors | ||
Possible factors | 0 | 0 | 0 | 2 | 0 | 2 | 3 | 0 | 0 | 0 | 0 | 1 | 3 | 5 | Max of 5 and min of 0 factors | ||
Total factors | 5 | 5 | 6 | 16 | 4 | 8 | 8 | 7 | 3 | 5 | 5 | 9 | 13 | 12 | Max of 16 and min of 3 factors |